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NPI Code Detail

MEDICARE: RITA N/A FRANCIS STUDENT

MEDICARE:   RITA N/A FRANCIS  STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1013613629
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA N/A FRANCIS STUDENT
Provider Business Mailing Address
First Line : 2112 26TH ST S UNIT 112
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5190
Country : US
Telephone Number : 812-946-2579
Fax Number :
Provider Business Practice Location Address
First Line : 2112 26TH ST S UNIT 112
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5190
Country : US
Telephone Number : 812-946-2579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 02/06/2023

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Directions to “ RITA N/A FRANCIS STUDENT” Practice Location

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